The Wheelman is the penultimate boss of Silent Hill: Downpour. This monster appears throughout the game in a much lesser form, cloaked in hospital garb, while taunting Murphy Pendleton. It is first seen by Murphy in the window of an abandoned house near Devil's Pitstop.

The Wheelman resembles a giant, emaciated corpse fused with a wheelchair and life-support machinery. The underside of the ribcage/stomach area is largely exposed and has numerous tubes and machinery plugged into it. It also has plentiful segments of wire and metal fused into its body. Its face is completely mutilated into a pulpy mass, with a horribly tumor-like growth on one half of its face and a single skinned eye on the other half. It has skinny, atrophied legs which seem to be tied to its wheelchair and can only be seen when it writhes in pain. Huge tanks of blood surround its environment, as well as clear fluids and gigantic air-pumps.